PMID- 12494435 OWN - NLM STAT- MEDLINE DCOM- 20030509 LR - 20211203 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 116A IP - 2 DP - 2003 Jan 15 TI - Mosaicism in a patient with Down syndrome reveals post-fertilization formation of a Robertsonian translocation and isochromosome. PG - 159-63 AB - It has been estimated that a few hundred children are born each year in the United States with translocation Down syndrome. About 5% of the cases with Down syndrome carry a Robertsonian translocation involving chromosome 21. The case described here is a patient with Down syndrome who showed mosaicism for two cell lines. Each cell line contains a different, de novo acrocentric rearrangement. We constructed somatic cell hybrids from the patient's cells and determined the parental origins of the rearrangements by molecular and fluorescence in situ hybridization (FISH) analyses. The analysis showed that the rob(14q21q) formed between a paternally inherited chromosome 21 and a maternally inherited chromosome 14, indicating that this rearrangement formed post-zygotically. Further molecular analysis also determined that the rea(21q21q) is an isochromosome of paternal origin. The cell line containing the isochromosome is unbalanced, resulting in trisomy 21. Because the same paternal chromosome 21 was involved in both the isochromosome and the Robertsonian translocation, we speculate that an unstable chromosome 21 was stabilized either through formation of a rob(14q21q) or through formation of an isochromosome. The mechanism proposed for the formation of the rob(14q21q) in this case is different from that for most de novo rob(14q21q), but similar to a previously reported mosaic case of Down syndrome. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Bandyopadhyay, Ruma AU - Bandyopadhyay R AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA. FAU - McCaskill, Christopher AU - McCaskill C FAU - Knox-Du Bois, Cami AU - Knox-Du Bois C FAU - Zhou, Yaolin AU - Zhou Y FAU - Berend, Sue Ann AU - Berend SA FAU - Bijlsma, Emilia AU - Bijlsma E FAU - Shaffer, Lisa G AU - Shaffer LG LA - eng GR - R01 GM56845/GM/NIGMS NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Cell Line MH - Chromosomes, Human, Pair 14/genetics MH - Chromosomes, Human, Pair 21/genetics MH - Down Syndrome/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - Isochromosomes/*genetics MH - Karyotyping MH - Models, Genetic MH - Mosaicism/*genetics MH - Prohibitins MH - *Translocation, Genetic MH - Zygote/metabolism EDAT- 2002/12/21 04:00 MHDA- 2003/05/13 05:00 CRDT- 2002/12/21 04:00 PHST- 2002/12/21 04:00 [pubmed] PHST- 2003/05/13 05:00 [medline] PHST- 2002/12/21 04:00 [entrez] AID - 10.1002/ajmg.a.10113 [doi] PST - ppublish SO - Am J Med Genet A. 2003 Jan 15;116A(2):159-63. doi: 10.1002/ajmg.a.10113.